Fairley Support Group Home Inc.
NPI 1710170238 · Intellectual and/or Developmental Disabilities Residential Treatment Facility · Maxton, NC
Fairley Support Group Home Inc. is a Intellectual and/or Developmental Disabilities Residential Treatment Facility organization in Maxton, NC (NPI 1710170238).
Provider details
- NPI number
- 1710170238
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Tony Fairley, Administrator/Ceo(910) 844-1880
- License
- MHL-078-174 (NC)
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Residential Treatment FacilityPrimary320600000XLicense MHL-078-174 (NC)
Residential Treatment Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-08-20
- Last updated
- 2007-08-20
Frequently asked questions
- What is Fairley Support Group Home Inc.'s NPI number?
- Fairley Support Group Home Inc.'s National Provider Identifier (NPI) is 1710170238, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Fairley Support Group Home Inc.?
- Fairley Support Group Home Inc. is classified in the NPPES registry as Intellectual and/or Developmental Disabilities Residential Treatment Facility (Residential Treatment Facilities).
- Where is Fairley Support Group Home Inc. located?
- Fairley Support Group Home Inc.'s practice location on file with NPPES is 12519 US Hwy 501 South, Maxton, NC 28364.
- What is Fairley Support Group Home Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Fairley Support Group Home Inc. is (910) 844-1880.
- Who is the authorized official for Fairley Support Group Home Inc.?
- The authorized official listed on Fairley Support Group Home Inc.'s NPPES record is Tony Fairley, Administrator/Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Fairley Support Group Home Inc.'s NPI active?
- Yes — Fairley Support Group Home Inc.'s NPI (1710170238) is active in the NPPES registry as of the last update on 2007-08-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.